Eligibility Determination:Hearingimpairment,Including Deafness

Eligibility Determination:HearingImpairment,including Deafness

Child Name: / DOB:
Gender: / Age:
School: / Grade:
Parent/Guardian: / Address:
Parent/Guardian: / Address:
Home Phone: / Work Phone:
Home Language: / Language Proficiency:
Primary Language: / Referral Date:
Test Dates: / Report Date:

Deafness means a hearing impairment that is so severe that the child is impaired in processing linguistic information through hearing, with or without amplification, that adversely affects a child’s educational performance. (34 CFR Sec. 300.8(c)(3))

Hearing impairment means an impairment in hearing, whether permanent or fluctuating, that adversely affects a child’s educational performance but that is not included under the definition of deafness in this section. (34 CFR Sec. 300.8(c)(5))

In New Mexico, the terms deafness and hearing impairment are combined into one eligibility category called Hearing Impairment, including Deafness. (Subsection (B) (2) of 6.31.2.7 NMAC).

The New Mexico Public Education Department (PED) highly recommends that the Eligibility Determination Team (EDT) use the following information in making an eligibility determination under the category of hearing impairment, including deafness.

Document assessment and evaluation data.The EDT must review and/or complete the following evaluations and/or assessments according to the recommendations established in the New Mexico Technical Evaluation and Assessment Manual (NM TEAM 2017):

screening data/previously conducted evaluation data (preschool-aged children); SAT file documentation (school-aged children)

Date:______

child’s history, including an interview with the parent(s)/guardian(s)

Date: ______

audiological evaluation

Date:______

speech/ language/communication assessment

Date:______

systematic review of individual academic achievement performance

Date: ______

academic achievement assessment

Date: ______

complete multiple direct observations across both structured and unstructured settings and various times

Date: ______

transition assessment, as appropriate

Date: ______

other ______

Date: ______

other ______

Date: ______

other ______

Date:______

NOTE:The assessment and evaluation data must demonstrate that the child is a child with a disability according to the requirements of IDEA (34 CFR Sec. 300.8(c)(3) and (5)) listed above.

Determine the presence of a disability. The assessment and evaluation data documented above must demonstrate that the child is a child with hearing impairment, including deafness, according to the requirements of IDEA (34 CFR Sec. 300.8(c)(3) and (5)). The questions below should be answered to help the EDT determine whether or not the child has a disability as defined by IDEA (2004).

NOTE:It is imperative that EDTs remember that multiple sources of evaluation data (including standardized and non-standardized) must be used for all eligibility determination decisions. It is essential that teams look at the whole child, not simply test scores. EDTs are strongly encouraged to review the introduction to this manual, particularly sections related to professional judgment (section 3), multilingual assessment issues (section 4), and the use and interpretation of standardized assessments and obtained scores (section 5).

1.Has the EDT eliminated the possibility that either the lack of (a) appropriate instruction in reading or math and/or (b) the opportunity to participate in developmentally appropriate early childhood experiences is a determinant factor?

᷾YESNO

Documentation:

√ If answered NO, the child is not eligible under the hearing impairment, including deafness, category.

2.Has the EDT eliminated the possibility that limited English proficiency is a determinant factor?

᷾YESNO

Documentation:

√ If answered NO, the child is not eligible under the hearing impairment, including deafness, category.

3.Has the EDT determined that the assessment and evaluation data demonstrate that the child is a child with hearing impairment, including deafness, as defined by IDEA (2004)?

YESNO

Documentation:

√ If answered NO, the child is not eligible under the hearing impairment, including deafness, category.

4.Has the EDT determined that no other eligibility category better describes this child’s disability?

᷾YESNO

Documentation:

√If answered NO, the child is not eligible under the hearing impairment, including deafness, category.

Determine need for specially designed instruction.The assessment and evaluation data documented above must demonstrate that the child requires specially designed instruction as a result of the disability according to the requirements of IDEA (34 CFR Sec. 300.39(b)(3)). The questions below should be answered to help the EDT determine whether or not the child requires specially designed instruction as defined by IDEA (2004).

1.As a result of the disability, does the child require specially designed instruction in order to be involved in and make progress in the general education curriculum or developmentally appropriate activities, as appropriate?

YESNO

Rationale/Documentation:

2.As a result of the disability, does the child require specially designed instruction in order to participate in extracurricular and other nonacademic activities?

YESNO

Rationale/Documentation:

3.As a result of the disability, does the child require specially designed instruction in order to be educated and participate with other children with and without disabilities?

YESNO

Rationale/Documentation:

√Answering “yes” to one or more of the above statements (1, 2, 3) indicates that the child needs specially designed instruction.

Determination of eligibility for special education and related services.The EDT has reviewed the referral and evaluation sources relevant to this child and has made the following determination:

The child is eligible under the eligibility category of hearing impairment, including deafness.

The results of the evaluation documents that the child is eligible for and in need of special education services under the eligibility category of hearing impairment, including deafness, as defined by IDEA (2004).

The child is not eligible under the eligibility category of hearing impairment, including deafness.

The results of the evaluation indicate that the child does not have hearing impairment, including deafness, as defined by IDEA (2004), and the child is not eligible for special education and related services under any other eligibility category.

The results of the evaluation indicate that the child does not have hearing impairment, including deafness, as defined by IDEA (2004), but the child is eligible for special education and related services under the category of ______. (Complete appropriate eligibility determination form for that category.)

The results of the evaluation indicate that the child has hearing impairment, including deafness, as defined by IDEA (2004); however, the EDT has determined that the eligibility category of______(as defined by IDEA, 2004) better describes the child’s primary disability that results in a need for specially designed instruction. (Complete appropriate eligibility determination form for that category.)

The results of the evaluation indicate that although the child has hearing impairment, including deafness, as defined by IDEA (2004), the EDT has determined that the child’s educational needs can be met without specially designed instruction.

The EDT is unable to determine eligibility under the eligibility category of hearing impairment, including deafness. The following information is needed in order for the EDT to reconvene and make a final eligibility determination decision.

Additional information from:

Additional assessments in the following areas:

Other:

Eligibility Determination Team Participants

Title/Name / Date / Signature
Parent/Guardian
Parent/Guardian
Child
Special Education Teacher
General Education Teacher
District Representative
Person Interpreting Evaluation Results
Educational Diagnostician
Speech Language Pathologist
Occupational Therapist
Physical Therapist
School Psychologist
Social Worker
Other
Other
Other
Other

Required members of the EDT, as described in IDEA (2004), are parent(s), special education teacher, general education teacher, district representative, and an individual who can interpret evaluation results (this is not necessarily an additional member of the team).

Team members who are serving in more than one role (e.g., district representative and person interpreting evaluation results) should sign in all applicable places.

Notes:

Reevaluation Eligibility Determination: Hearing Impairment, including Deafness

In New Mexico, the terms deafness and hearing impairment are combined into one eligibility category called hearing impairment, including deafness. (SubsectionB (2) of 6.31.2.7 NMAC).

The New Mexico Public Education Department (PED) highly recommends that the Eligibility Determination Team (EDT) use the following information in determining continued eligibility under the category of hearing impairment, including deafness.

Review of evaluation data.The EDT reviewed and/or completed the following evaluations and/or assessments as part of the reevaluation process according to the recommendations established in theNew Mexico Technical Evaluation and Assessment Manual (NM TEAM 2017):

current classroom-based, short-cycle, and/or stateassessments Date: ______

complete multiple direct observations across both structured and unstructured settings and various times

Date: ______

observations and information provided by teachers and related service providers

Date: ______

observations, information, and/or evaluations provided by the child’s parents Date(s):______

Other assessment information included:

audiological evaluation

Date:______

speech/ language/communication assessment

Date:______

systematic review of achievement

Date:______

academic achievement assessment

Date:______

transition assessment, as appropriate

Date:______

other ______

Date: ______

other ______

Date: ______

other ______

Date: ______

Determine the continued presence of a disability.The assessment and evaluation data documented above must demonstrate that the child continues to be a child with hearing impairment, including deafness, according to the requirements of IDEA (34 CFR Sec. 300.8(c)(3) and (5)). The questions below should be answered to help the EDT determine whether or not the child continues to have a disability as defined by IDEA (2004).

1.Has the EDT determined that the assessment and evaluation data demonstrate that the child continues to be a child with deaf-blindness as defined by IDEA (2004)?

YESNO

Documentation:

√ If answered NO, the child is no longer eligible under the deaf-blindness category.

2.Has the EDT determined that no other eligibility category better describes this child’s disability?

YESNO

Documentation:

√If answered NO, the child is no longer eligible under the deaf-blindness category.

NOTE:There are no specific reevaluation eligibility criteria, therefore it is up to the EDT to determine whether or not the child continues to have a disability based on the REED process. However, if upon review of existing and newly gathered evaluation data (as appropriate), there is consideration of a change or addition of eligibility, the EDT must follow the guidelines and procedures for initial eligibility for the newly considered eligibility category.

Determine continued need for specially designed instruction.The assessment and evaluation data documented above must demonstrate that the child continues to require specially designed instruction as a result of the disability according to the requirements of IDEA (34 CFR Sec. 300.39(b)(3)). The questions below should be answered to help the EDT determine whether or not the child continues to require specially designed instruction as defined by IDEA (2004).

To answer the following questions, the EDT should consider (a) the child’s present levels of academic achievement and functional performance, (b) the child’s educational needs, and (c) any necessary changes to the child’s educational program.

YESNO

Rationale/Documentation:

2.As a result of the disability, does the child require specially designed instruction in order to participate in extracurricular and other nonacademic activities?

YESNO

Rationale/Documentation:

3.As a result of the disability, does the child require specially designed instruction in order to be educated and participate with other children with and without disabilities?

YESNO

Rationale/Documentation:

√Answering “yes” to one or more of the above statements (1, 2, 3) indicates that the child needs specially designed instruction.

Determination of continued eligibility for special education and related services.The EDT has reviewed the referral and evaluation sources relevant to this child and has made the following determination:

The child continues to be eligible under the eligibility category of hearing impairment, including deafness.

The results of the evaluation documents that the child continues to be eligible for and in need of special education services under the eligibility category of hearing impairment, including deafness, as defined by IDEA (2004).

The child is no longer eligible under the eligibility category of hearing impairment, including deafness.

The results of the evaluation indicate that the child no longer has hearing impairment, including deafness, as defined by IDEA (2004), and the child is not eligible for special education and related services under any other eligibility category.

The results of the evaluation indicate that the child no longer has hearing impairment, including deafness, as defined by IDEA (2004), but the child is eligible for special education and related services under the category of ______. (Complete appropriate eligibility determination form for that category.)

The results of the evaluation indicate that the child continues to have hearing impairment, including deafness, as defined by IDEA (2004); however, the EDT has determined that the eligibility category of ______(as defined by IDEA, 2004) better describes the child’s primary disability that results in a need for specially designed instruction. (Complete appropriate eligibility determination form for that category.)

The results of the evaluation indicate that although the child continues to have hearing impairment, including deafness, as defined by IDEA (2004), the EDT has determined that the child’s educational needs can be met without specially designed instruction.

The EDT is unable to determine continued eligibility under the eligibility category of hearing impairment, including deafness. The following information is needed in order for the EDT to reconvene and make a continued eligibility determination decision:

Additional information from:

Additional assessments in the following areas:

Other:

Reevaluation Eligibility Determination Team Participants

Title/Name / Date / Signature
Parent/Guardian
Parent/Guardian
Child
Special Education Teacher
General Education Teacher
District Representative
Person Interpreting Evaluation Data
Educational Diagnostician
Speech Language Pathologist
Occupational Therapist
Physical Therapist
School Psychologist
Social Worker
Other
Other
Other
Other

Team members who are serving in more than one role (e.g., district representative and person interpreting evaluation results) should sign in all applicable places.